| NPI | 1508803164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 20041914A) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: IN 20041914) |
| 103T00000X Psychologist (Licence: IN 20041914A) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-01-11 |